Live-In Caregivers in Honolulu, HI: 24-Hour Home Care

Local figures

Live-In Caregivers in Honolulu, HI: the local picture

12,150

residents 85 or older (3.5% of all residents)

29,353

households headed by someone 65+ own their home (66%)

35%

of Honolulu homes have 3 or more bedrooms (57% in Honolulu County)

$16.00

Hawaii minimum wage per hour

About 12,150 Honolulu residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.

A live-in caregiver needs a private room. 35% of homes in Honolulu have three or more bedrooms (57% in Honolulu County), while 32% have one bedroom or none, where live-in care rarely works; the median home has 3.7 rooms.

Of Honolulu households headed by someone 65 or older, 29,353 own their home and 15,424 rent; among householders 85 and older it is 4,733 owners and 2,160 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Honolulu compared with Honolulu County and Hawaii

Census figure	Honolulu	Honolulu County	Hawaii
Residents 85 or older	3.5%	3.0%	2.8%
Residents 65+ in households who live alone	27%	19%	20%
Residents 65+ with a disability	32%	33%	32%
Residents 65+ below the poverty line (approx.)	12%	9.0%	9.2%
Residents 65 or older	22%	20%	20%
Residents 5+ who speak a language other than English at home	35%	26%	25%
Median income, households headed by someone 65+	$76,241	$94,383	—

Older residents in towns around Honolulu

Town	Distance	Residents 65+	Residents 85+
Halawa, HI	5.8 mi	3,562	651
Aiea, HI	6.5 mi	2,307	593
Heeia, HI	6.9 mi	1,299	161
Hickam Housing, HI	6.9 mi	120	0
Kaneohe, HI	7.0 mi	9,612	1,856
Waimalu, HI	7.2 mi	3,181	306

Emergency hospitals near Honolulu

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
The Queens Medical Center	Honolulu, HI	0.5 mi	3 of 5	(808) 538-9011
Straub Clinic And Hospital	Honolulu, HI	0.5 mi	4 of 5	(808) 522-4000
Kuakini Medical Center	Honolulu, HI	1.0 mi	4 of 5	(808) 536-2236

Straight-line miles from the center of Honolulu. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a live-in caregiver can help with

Help across the day: meals, housekeeping, personal care
Someone in the home overnight if help is needed
Medication reminders and appointment rides
Companionship and a steady routine

Cost

What live-in care costs in Honolulu

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.32 an hour (the Hawaii median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,969 a month (62% of the $6,353 monthly median income of Honolulu households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,337 a month (210% of the $6,353 monthly median income of Honolulu households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Hawaii's minimum wage is $16.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a live-in caregiver

Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).

Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Live-In Caregivers in Honolulu: common questions

Where is the nearest emergency hospital to Honolulu?

The Queens Medical Center in Honolulu, about 0.5 mi in a straight line from the center of Honolulu (Medicare hospital file). Its listed phone number is (808) 538-9011. In an emergency, call 911.

How much does live-in care cost in Honolulu?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.32 an hour (the Hawaii median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,969 a month (62% of the $6,353 monthly median income of Honolulu households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,337 a month (210% of the $6,353 monthly median income of Honolulu households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Hawaii's minimum wage is $16.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Honolulu?

A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in Honolulu it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.

More near Honolulu

More senior care near Honolulu

Live-In Caregivers in nearby cities

Other care in Honolulu

More for Honolulu families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

Live-In Caregivers in Honolulu, HI